| NPI | 1346902228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2300731) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 2300731) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-27 |